Increase practice revenue,
through frictionless payments.
 
Our Mission: Make treatment more accessible for patients.

PatientPayments™ Questionnaire

How do your patients typically pay for your services?

100% >75% 50-75% 25-50% <25% n/a
100% paid upfront
Insurance + out-of-pocket
In-house financing
CareCredit
Non-CareCredit financing
Other

What is the typical 'threshold' ($) your patients are willing and able to pay before seeking financial assistance?

How much of your annual revenue is paid through non-insured methods?

2% 3-5% 6-10% 11-14% n/a
Under-Resourced
Patient's Portion (Insurance)
Co-pay

What is your risk tolerance for in-house financing PER PATIENT based on patient credit worthiness?

A B C D F n/a
$250
$500
$1,000
$2,500
$5,000
$10,000
$20,000
$40,000
>$50,000
In-house financing
CareCredit
Non-CareCredit financing
Other

Are you interested in learning about ways PatientPayments™ can help you retain customers and increase profitability by offering in-house financing?

Are there any other finance options worth considering with an in-house patient payment?

Practice Name

Provider's Name

Office Manager's Name

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